Individual
PRASIT NIMITYONGSKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CENTER ST, STE 3N, MOBILE, AL 36604-1512
(251) 665-8200
(251) 665-8210
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 665-8200
(251) 665-8210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11167
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012200
—
AL
05
—
00011214
—
MS
01
—
09-10435
UNITED HEALTH CARE
AL
05
—
1464945
—
LA
05
—
255674000
—
FL
01
—
51012200
BLUE CROSS
AL
01
—
51501715
BLUE CROSS
AL
Enumeration date
05/23/2006
Last updated
02/21/2017
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